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Home My WebLink About2013-00291 - gas fireplace CITY OF ORONO * 2 0 1 3 - 0 0 2 9 1 * 2750 KELLEY PARKWAY pATE ISSUEn: 04/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 106 CHEVY CHASE DR PIN : 36-ll 8-23-41-0033 LEGAL DESC : HILL O'WAY MANOR : LOT 028 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,967.00 NOTE: UAS FACTORY FIREPLnCE-MENDOTA-MODEL NO. FV44I APPLICANT MECHANICAL 50.00 TWIN CITY FIREPLACE CO. STATE SURCHARGE MECH(VALUATION) 1.98 6916 WASHBURN AVE. S. MINNEAPOLIS, MN 55423- MAIL-IN FEE 2.00 (612)282-2684 TOTAL 53.98 PAID WITH CC# 5658 OWNER JOHNSON, MR. & MRS. 106 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is tbr only the work described and does not grant permission for additional or related work which requires separa[e permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��✓�2��v� `��°� /3 �30 � Applicant Permitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , Apr 26 13 11:53a Twin City Fireplace �, n A 9529422093 p.1 � � �(�3 i � FaR 17'Y USE OIYLY �� Cit}of Orono /,� � / � P O.Box 66 Date Recdro�� Permi t# �/ D�� 2750 KeElcy Parkway /� �j ! Crysial Eay,bIN 55323 Appmved By: Amount S:��J� % � Phone(952)249-4600 Fax(952)249-4616 I sF G, �, tf KFSHORE I CITY OF ORONO–MECHANICAL PERMIT (A11 Commcrcial permiLc mus[be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pecmits by mail or in person a[the City offices. Applications will be reviewed;and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is compleied. PERMITS ARE NOT VAL[D UN'['�L YOU RECEIVE A PBRMIT. WORK 1ViUST NO"C BEGIN UNTTL THE PFRMIT CARD IS POST'ED ON TE[E JOB SITE 3. Mechanical Designs—Complete calculations,details and specifications aze required for each heating,ventilation,humidification-dehumidifcation,and air condiiioning installation includi�g heat Joss/heat gain calculation,design temperatures,equiprnent ratings and identification as to type;manu�aeturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. Ali work must be done in accordance with the Uniform Mechanical CodeiState Buildirea Code requirements. 6. .4,11 work rnust be inspec�ed(rough-in and final). Call(952)249-�600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before 6nal. � TYPE OF PERMIT Check Ali That A I �Residential I ❑Commercial(Approval Itequired) �f New i ❑Additional ❑Repairs ❑Replace . � Job Site/Owner Informat3on: Site Address: �'�� C.�'1 G V��'�1 Gl S e �+�• � Owner: �ey} Y! ,�S J Oy1�(1 jOh Mailing Address: � �ls� C,�e,VV_��G�S� �r. r — c�t�-_ W ' z�P: 5�3 Gl ► � Horrie Phone: q 5�–�� '�}� Alternate Phone: Contractor lnformation: Contractor: ��v 1 jf1 ,1 r�D�(�LC� Contact Person: C`'1 Y t� ��G�e r Address: �� ' � WO�S�'lbl,�1'�'1 �1(e State Bond#: �} �j�� , S. City: �� Zip:� Expiration [5ate: � �� { � 55423 Phone: (J!��"Zg2'�$�}- Alternate Phone: ; ��v�-�1.t�- ❑ I�sucance—Current: 1 , .Apr�6 13 11:53a Twin City Fireplace 9529422093 p.2 I i � i MECHANICAL SYSTEMS BEII�'G INSTALLED Note: AlI Geothe I al Systems�vilt now require a Site Plan&R�view by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑1�0 NEATING SYSTEMS Quantity: Make: --- � Model: I � — i Fuel: I F�ue Size: II ' Input BT[Js: i i — Output$TUs: I � —— CFM: I COOLi�TG SYSTEA7S v—— ` _ Quantity_ i I R4ake: i Model: -- Tons: I �— H.Power � FIREPLAC�S I � Gasl,Factory Fireplace Brand Name: �Q,��_ N�`ood Burning Fireplace ❑ Wood Sto��e Mode]No.: _��-L�- � i ❑ Woi d Stove with F1ue;_l4asonry, VENTILATION I ❑ No.II Kitchen Exhaust duct _recirculating cfin Q No.I, Bath Exhaust(must have d�ct outside) �� ❑ No.i Other Fans: Locations� � I F[JEL STORAGE (Must be approved by Fire Marshall ifpropasing to abando►r tank in place.) ❑ [ns�llation ❑ Removal Fuel��Oil: ga[lons ❑ Underground ❑Inside ❑Outside LP Gas: ga�lons Other: i GAS LINE ONLY i ❑ Outdoor Grill ❑ Other!List W'hat&Where: � 2 Apr 26 13 11:54a Twin City Fireplace 9529422093 p,3 i ; PERMIT�`EE CALCULATI�N(S) ' BASED OFF-2002 STATE STATUE �] Yes,this section applies The replacement of a Residential fixture or aaa(iance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a totnl cost of$500.00 or less;exciudin�the cost of the fixture or appliarece:and 3. ls improved,installed or replaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Permit $ 7 g,pp State Surcharge $ S.pp Mail-In Fee(If Applicable) $ 2.00 Total Perr�it Fee � PERIV�T FEE CAT,CULATION(S)—JOBS OV�R$504 00 If above does not apply;follow guidelines below: l. COVTR.4CT PRICE * is 1.25%ofcontract price with a(Minimum Fee of$5p.00) �q(��— X.o�2s$ � ,rJ� (contrac[price) (minimum550.00) � 2. S'I'ATE SURCHARGE _� G( ��" x.000s s � ��a '(contract price) 3. POSTAG�&I�f.qNDLING(Qnly on wtail-In Applications) $ 2.�p 4. TQTAL PER1�lIT FEE(Add Lines 1-3 Abovej $ �� . "J� • * CONTRACT PRfCE or JOB COST means Ehe actual or estimated doUar amount charged for the permitted work including materials, [abor,profit,and other fixed costs. It is the amount to be charged to the cUstomer for the work done. if any material, equipme�t, labor or installations are furnishad by the owner,tenant or any other party,the reasonable market value of such items must be addec�to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may requesi the submission of a signed copy of the actual contract. MECHANICAL PEKMIT APPLICATIOh�AGREEMENT The undersigned hereby applies ta the City for issuance of a Mechanica] Permit, agrees to do aI� work in strict accordance w•ith the ordinances of the City and the reguIations of the Siate of Minnesota, and certifies that all statements made on this application are complete, true and correc� Applicani's Signature: QFt na�: 'y�y I z -I�-�--- 3 L3 � DATE TIME � CITY OF ORONO CALLED IN S/ /3 INSPECTION�NO�`3�a�/ SCHEDULED �7—�� " Jv PERMIT NO. COMPLETED � ADDRESS �� OWNER E PHONE NO. �" ��-sU� CONTRACTOR � �: DESCRIPTION L+ � • � � ❑ FOOTING ❑ PLU BING FINAL ❑ EXC /GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 0 � 1 Pt r�r �-e�� r � �� 0 � W � Q � Z W � W � j d � � ❑WORK SATISFACTORY:PROCEED �1�iOJECT COMPLETE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice